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Vermont rates for HCPCS E2627

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Adjustable Rancho Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.16 / $798.44 / $798.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $558.94
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.66 / $542.66 / $558.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.67 / $1,064.58 / $1,104.20